ACUTE PAINFUL DIABETIC NEUROPATHY FOLLOWING SEVERE WEIGHT-LOSS

A 34-year-old man, recently diagnosed as diabetic, presented an acute painful neuropathy. He reported a profound weight loss during the mont hs preceding onset, There were no motor symptoms, and only mild neurol ogical signs were observed on examination. Improvement was related to a good glycemic control and weight gain. Acute painful diabetic neurop athy is a rare condition that may affect diabetic patients shortly aft er development of the disease. The pathogenetic roles played by differ ent factors are reviewed. (C) 1996 John Wiley & Sons, Inc.